Organization
AJ PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARAK KRAUS DPT (OWNER)
(818) 986-7266
Entity
Organization
Contact information
Practice address
16573 VENTURA BLVD STE 8, ENCINO, CA 91436-2024
(818) 986-7266
(818) 287-6783
Mailing address
16573 VENTURA BLVD STE 8, ENCINO, CA 91436-2024
(818) 986-7266
(818) 287-6783
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-27373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611625900
DEPT OF LABOR
CA
01
—
ZZZ66160Z
BLUE SHIELD GROUP ID
CA
Enumeration date
12/05/2006
Last updated
09/12/2022
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